The nurse is assisting in the preparation of a teaching plan for an older patient. What information about maintaining a healthy immune system should the nurse recommend be included in this plan? (Select all that apply.)
a. Get a pneumovax vaccine yearly.
b. Obtain a varicella booster every 3 years.
c. Get a diphtheria and tetanus booster every 10 years.
d. Avoid people with colds or other infectious illnesses.
e. Get an influenza vaccine yearly before influenza season.
f. Obtain vaccination against hepatitis B if infection risk is moderate to high.
ANS: C, D, E, F
The immune system is less effective with age, so avoiding those with infections is helpful. Immunizations for older adults include diphtheria tetanus booster every 10 years, pneumovax once in a lifetime, influenza vaccine yearly, and hepatitis B vaccine if medium to high risk for exposure to hepatitis B. A. A Pneumovax vaccine is not needed every year. B. A varicella booster is not needed every 3 years.
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The patient's order is to start total parenteral nutrition (TPN) containing a concentration of 15% glucose and 3.5% amino acids. The nurse realizes the solution must be
A) initially started in a peripheral line. B) given in a central line. C) checked, since glucose concentration is dangerously high. D) held until renal function studies are done.
A patient presents at the free clinic complaining of nervousness, worrying about everything, and feeling very tense. What diagnose would the nurse suspect?
A) Neurosis B) Psychosis C) Anxiety D) Depression
Which statement about acute illness is true?
a. Most people with acute illness develop chronic illness. b. Most people with acute illness return to their previous level of wellness. c. All people with an acute illness need medical care. d. Acute illnesses are usually catastrophic in nature.
A client with coronary artery disease is scheduled for a minimally invasive direct coronary artery bypass (MIDCAB). The client asks how this procedure differs from a traditional coro-nary artery bypass. What is the nurse's best response?
A. "The sternotomy incision is smaller." B. "Cardiopulmonary bypass is not required." C. "There is far less incisional pain with a MIDCAB." D. "There is no risk of graft closure after this procedure."